Motivational Interviewing Techniques

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

The discussion of the video below is in accordance with the Motivational Interviewing Reflection Tool (MIRT).

Motivational interviewing is a practice wherein conveying acceptance of your client, you become an aid in the process of change. Motivational interviewing fosters Carl Rogers ' optimistic and humanistic theories; around ones competences for employing free choice and shifting through a course of self-actualization. The therapeutic relationship for both Motivational Interviewers and Rogerians’ is a democratic partnership. The concept of Motivational Interviewing (MI) progressed from the experience of treating problem drinkers. Motivational Interviewing was first described by William R. Miller, Ph.D., in 1983.

Kayla Matos-Galos, a 4-year-old girl from Land O’Lakes, Florida, is significantly obese, weighing nearly 105 pounds. The author has been asked to create a plan for the mother of Kayla, Ms. Luz Matos, to help her daughter improve her eating habits and overall health. Ms. Matos was advised that the goal of treatment should be weight maintenance as opposed to weight loss. This plan permits the child to increase in height but not in weight, resulting in a decrease in BMI-for-age into a healthier range. Ms. Matos was additionally informed that this will not be an easy task and that a considerable amount of effort should be made in maintaining Kayla’s weight. Kayla needs to increase her physical activity in addition to eating a healthy diet (Mayo Foundation for Medical Education and Research [MFMER], 2010b).

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

Reducing the problem of obesity; there must be an organized educational, political and legislation movement that is supported at the community level. Information from evidence-based practices used by nurses, health care providers, and other collaborators like dieticians, physical therapists, and social workers help the client to achieve a more favorable outcome. These interventions focus on diet, exercise, and behavior modification should be encouraged by nurses. Giving the client the power to identify the factors that contribute to excess food intake, can help the client to eliminate or reduce causes. Establishing realistic weight loss goals and exercise / activity objectives like losing bodyweight 1-2 lb./week increase the likelihood of success, assessing the client’s knowledge and discuss well-balanced diet plans plays major role teaching about diet plans. Discussing behavior modification strategies, such as self-monitoring and environmental management can provide client is the reinforcement that is needed. (Pearson, 2015) Continuing assessment is necessary not only to evaluate the safety or weight loss strategies but also reinforce positive benefits of weight loss. Including families and other stakeholders, such as schools, parks, private partners and politicians at all levels, we can make the obesity issue a focus for change. (John, F., & Kirsten, P., 2014). For programs like this to be successful, outcomes should not

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

There is much to making the workplace into a successful team. In order to do this there is a lot of effort, patience and understanding that must take place. To make the workplace successful, certain protocols and ideals and even morals have to be instilled in the workplace. Each member of the team may have their own set of goals that motivate them. It would be extremely wise to try to implement those goals into the workplace for example if one team member has the goal of productivity and another has a goal of better service, these are goals that would benefit the workplace so it would be great to implement those goals into the workplace. To make these goals a reality the employer or leader of the team can offer

Nearly half of all Americans have at least one chronic disease such as heart disease, cancer and diabetes. Chronic disease has an impact on quality and length of life. Chronic diseases are the leading causes of death in the US. According to the CDC seven out of 10 deaths in 2010 were caused by chronic disease with cancer and heart disease responsible for 48% of the deaths. In addition to the human cost there is also a financial toll; chronic disease accounts for over 85% of all health care spending, and contributes to cost to business because of insurance, absenteeism and loss of productivity.

Are primary care providers caring for pediatric patients who are at risk for obesity (P) who are provided with training for assessment healthful eating, assessment of BMI and active living habits among adolescents and children (I) in comparison to no

Once Mr Brown’s personal adult learning characteristics and learning style is established, the appropriate education strategies can be chosen and utilised. Motivational interviewing is a client-centered counseling style in which patients are helped to explore and to resolve ambivalence toward behavior change

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the